NPI | 1508596453 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE ROYE Owner/Provider 850-528-8042 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2022-06-14 |
Last Update Date | 2023-09-06 |